The holder whose full name is GIMOTEA, ANTONIETA ASUNCION,come from SYRACUSE NY,hold the Physician license(NO.01046916A) which status is Expired Non-Renewable.
| Name | GIMOTEA, ANTONIETA ASUNCION |
|---|---|
| License Number | 01046916A |
| License Type | Physician |
| License Status | Expired Non-Renewable |
| City | SYRACUSE |
| State | NY |